The General Surgery and Gastroenterology Unit of the Ruber International Hospital in Madrid, is made up of specialists who have carried out extensive training and have considerable experience. Thanks to their many years of dedication, they are currently at the forefront of all surgical techniques and procedures.

Surgical treatments are performed on both benign and malignant pathologies in disorders of the endocrine system, abdominal wall, oesophageal and gastric, hepato-pancreato-biliary conditions, as well as disorders of the colon and rectum.

Treatments are performed with open or laparoscopic (keyhole) surgery, according to what is required. Outstanding results are achieved with both techniques.

We offer a specialisation with considerable experience in cancer surgery, and are able to carry out the most advanced surgical treatments, with the support of our central departments: Intensive Care Unit (ICU), laboratory, blood bank, microbiology, medical oncology and radiotherapy, diagnostic imaging and nuclear medicine. These have the most innovative and state-of-the-art technology.


The objective of our department is the treatment of conditions belonging to this speciality in a multidisciplinary environment, with major technological support. Our intention is to solve patients' problems with the most modern treatments, causing the least possible aggression to the body, resulting in less discomfort and a quicker recovery.

Providing every patient with personalised treatment is our greatest commitment. For this reason, we maintain close monitoring and care so that patients feel attended to and cared for at all times.

What do we mean by this?

When we say that we work in a multidisciplinary environment, we refer to the coordination of the medical specialities related to the different pathologies which is fundamental in current medicine to obtain the best outcomes.

For this reason, our Unit works in close collaboration with different departments that are closely related to the speciality such as: internal medicine, gastroenterology and endoscopy, medical oncology and radiotherapy, endocrinology, etc. As well as with the different central departments: anaesthesia, ICU, diagnostic imaging, nuclear medicine, pathology, laboratory, blood bank, microbiology, etc.

Technological support is absolutely essential for quality treatment.

The Ruber International Hospital in Madrid has the most innovative technology in all its departments.

The general surgery operating rooms are equipped with the latest imaging resources for advanced laparoscopic surgery, guided radiosurgery and robotic surgery (DA VINCI).

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cirugíacirugíaGastrointestinal surgery

Gastrointestinal surgery

Both benign and malignant diseases can occur in any part of the gastrointestinal tract: Oesophagus, stomach, small intestine, large intestine, colon, rectum, or in the liver, bile duct or pancreas.

In malignant and premalignant diseases, an early diagnosis of the condition is fundamental, given that incipient pathologies can be cured with the correct treatment. This is why preventive studies of healthy populations are carried out in age groups in which tumour incidence is most common. This is called "screening".

The most important tests in the early diagnosis of gastro, colon and rectal cancer are: tumour markers; faecal occult blood; gastroscopy and colonoscopy. These are fundamental pillars in the early diagnosis of gastrointestinal tract conditions.

In cancer treatment, it is very important to classify the tumour before surgery in order to consider if the patient is a candidate for undergoing chemotherapy, radiotherapy, or both treatments before the surgical procedure. For this reason, imaging tests are very important to carry out a correct determination of the tumour stage. This means that subsequent outcomes will be improved.

Surgical treatment

It is performed with the most advanced technological systems and, depending on the characteristics of the tumour, will be done via a conventional, laparoscopic (keyhole) or robotic procedure.

    • Benign conditions:

      Benign conditions can appear in any part of the digestive system. The most common conditions are benign tumours, intestinal diverticula of both the small intestine and the colon. The following usually present as an emergency: acute appendicitis; inflammatory bowel disease; intestinal obstruction processes as a result of both benign and malignant conditions and ischaemic processes.

      The treatment of these patients is usually surgical. Depending on the process, they are treated by laparoscopic, open or robotic surgery.



  • Haemorrhoids

    The indication of a surgical procedure is determined mainly by the symptoms that the patient presents "pain, bleeding, etc." Treatment: there are different treatment modalities depending on the type of haemorrhoids:
    • Scleroses
    • Selective ligation of the haemorrhoidal pedicles
    • Haemorrhoidectomy in all its variants

  • Fistulas

    These are tracts that can link the peri-anal skin with the rectum; they can be superficial, which means that they do not affect the sphincter system, or they can affect the sphincters.

    It is very important to carry out the diagnosis properly as the treatment differs greatly depending on the case.

    Tests used, apart from the physical examination, are sigmoidoscopy, ultrasound scan and MRI.

  • Fissures

    These are injuries at the anal margin.

    Diagnosis: is made by examination and the symptoms "pain and bleeding"

    Treatment: it consists of the segmentation of the internal sphincter.

cirugía hepatobiliar y pancreaticacirugía hepatobiliar y pancreaticaHepatobiliary and pancreatic surgery

Hepatobiliary and pancreatic surgery

  • Surgery of the bile duct

    The most common cause in this type of condition is cholelithiasis and, less frequently, choledocholithiasis.

    Cholelithiasis is the presence of gallstones in the gallbladder. It should be treated surgically when the patient presents with symptoms secondary to this condition, or when associated conditions therefore recommend it.

    Treatment should be carried out by laparoscopy.

  • Choledocholithiasis

    This is the presence of gallstones in the bile duct; it should be treated either by extracting the gallstones by endoscopy or, in the case that the patient presents gallstones in the gallbladder at the same time, via laparoscopy and endoscopy in the same surgical procedure.

  • Surgery for hepatobiliopancreatic malignancy

    Is a paradigm of the need for multidisciplinary collaboration, specifying for this the joint and coordinated action of gastroenterologists, interventional radiologists, oncologists and surgeons.
    At the Ruber International Hospital, we have the most advanced technology and specialist human resources for the treatment of primary liver tumours and, given their prevalence, of other tumours' liver metastases, mostly of colonic origin (liver resections, radiofrequency ablation, etc.)

Pancreatic pathology

Especially of tumours, which has an increasing incidence in Spain, also constitutes another of the specialisation pillars of the surgery team at this Hospital, in close collaboration with the endoscopy, radiology and oncology departments.

The management of gastroduodenal disorders also enables the combination of open and laparoscopic surgery, always trying to search for a balance between the greatest possible effectiveness through less damage to patients, thereby allowing for their early recovery.

cirugía pared abdominalcirugía pared abdominalAbdominal wall surgery

Abdominal wall surgery

All hernias or eventrations that may occur in the abdominal wall are part of this pathology: Inguinal, umbilical, Spigelian, obturator hernias, etc.

  • Eventrations: depending on the previous surgery they may be: of the midline, para-rectal, transverse, subcostal, Pfannenstiel, etc.

    The diagnosis is made clinically and using different radiological tests.

    Treatment: through the open or laparoscopic route, depending on the characteristics of the hernia and the indicated repair mode.

    In most cases, the placement of either an intra- or extra-abdominal mesh is necessary.

Malignant pathology of the abdominal wall, although it is rare, can be diagnosed occasionally.

Diagnosis is made with the symptoms, different radiological tests and biopsies.

The treatment depends on the extent and type of lump, with the collaboration of plastic and restorative surgery being required in these cases.

Eventrations: depending on the previous surgery they may be: of the midline, para-rectal, transverse, subcostal, Pfannenstiel, etc.

The diagnosis is made clinically and using different radiological tests.

Treatment: through the open or laparoscopic route, depending on the characteristics of the hernia and the indicated repair mode.

In most cases, the placement of either an intra- or extra-abdominal mesh is necessary.

cirugía endocrinacirugía endocrinaEndocrine surgery

Endocrine surgery

Both benign and malignant conditions of the thyroid gland, parathyroid glands, adrenal glands and pancreas form part of this type of pathology.

The collaboration of different medical specialities is required in this surgery: endocrinologists, general surgeons, anaesthesiologists, intensivists, pathologists, radiologists, interventional radiologists, nuclear medicine doctors, and laboratory test specialists.

All patients are studied in clinical sessions, which results in the correct, personalised and safe treatment being carried out.

The Ruber International Hospital in Madrid has an excellent endocrine unit, as well as all the necessary facilities and material, to treat this type of pathology.